Active NPI
Nicholas Bello, RDO
- Optometrist
- Worcester, MA
National Provider Identifier
1538359328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2075
- Practice address
- 348 Shrewsbury St
Worcester, MA 01604-4616 - Phone
- (508) 798-2421
- Fax
- (508) 754-9093
- NPI assigned
- Jul 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2075 | MA | Primary |
Addresses
Primary practice location
348 Shrewsbury St
Worcester, MA 01604-4616
Mailing address
348 Shrewsbury St
Worcester, MA 01604-4616
Phone (508) 798-2421
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2075 | MA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186358400000",
"number": "1538359328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "348 SHREWSBURY ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016044616",
"telephone_number": "508-798-2421",
"fax_number": "508-754-9093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "348 SHREWSBURY ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016044616",
"telephone_number": "508-798-2421",
"fax_number": "508-754-9093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLO",
"first_name": "NICHOLAS",
"credential": "RDO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-27",
"last_updated": "2007-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "2075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.